NPI | 1336660752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415620) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 4551) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2021-08-25 |