NPI | 1366119844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401417650) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 17611) |
Enumeration Date | 2021-08-24 |
Last Update Date | 2023-01-23 |