NPI | 1295144061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 1223G0001X) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30142) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2020-04-24 |