NPI | 1336660547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 33081) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN22724) |
Enumeration Date | 2017-06-28 |
Last Update Date | 2023-07-10 |