NPI | 1245749290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA DNF000411) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 39184) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2025-02-11 |