NPI | 1265272801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL 29702) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: FL DN29702) |
Enumeration Date | 2024-05-30 |
Last Update Date | 2025-09-16 |