NPI | 1295225852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D11780) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IA 09564) |
Enumeration Date | 2018-05-18 |
Last Update Date | 2024-07-29 |