NPI | 1376112433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NC 12218) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 12218) |
1223G0001X Dentist, General Practice (Licence: NC 12218) | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2021-06-23 |