NPI | 1295463800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS043715) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS043715) |
Enumeration Date | 2022-08-11 |
Last Update Date | 2024-09-11 |