NPI | 1316599947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D14345) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 11548) |
Enumeration Date | 2019-07-13 |
Last Update Date | 2024-06-27 |