NPI | 1356036768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN30214) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DRPM2570) |
Enumeration Date | 2023-04-11 |
Last Update Date | 2025-06-19 |