NPI | 1275659310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA DN014006) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: AL 4633) |
1223P0700X Dentist, Prosthodontics (Licence: TN 7266) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2025-10-07 |