NPI | 1326707381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IA 40217) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 38043) |
Enumeration Date | 2021-12-16 |
Last Update Date | 2023-01-18 |