NPI | 1316570906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN122266) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: GA STUDENT) |
Enumeration Date | 2020-02-21 |
Last Update Date | 2024-02-13 |