NPI | 1376101188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D010639) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 103741) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2024-06-17 |