NPI | 1346975851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS043801) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS043801) |
Enumeration Date | 2022-07-19 |
Last Update Date | 2023-08-17 |