NPI | 1326539230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 13587) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DN1857922) |
122300000X Dentist (Licence: PA DS042889) | |
Enumeration Date | 2018-05-25 |
Last Update Date | 2024-05-24 |