NPI | 1346817020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2021015089) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 61786) |
Enumeration Date | 2021-06-09 |
Last Update Date | 2022-01-31 |