NPI | 1255957742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN016122) |
Additional Taxonomies | 122300000X Dentist (Licence: SC 9644) |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-08-21 |