NPI | 1316687098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 14463) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 10204) |
Enumeration Date | 2022-03-30 |
Last Update Date | 2025-08-22 |