NPI | 1306544382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 18231) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN2000292) |
1223G0001X Dentist, General Practice (Licence: VA 0401418517) | |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-09-05 |