NPI | 1356025530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2023021431) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2023021431) |
Enumeration Date | 2023-06-09 |
Last Update Date | 2023-06-09 |