NPI | 1376602235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NV 4688T) |
Additional Taxonomies | 122300000X Dentist (Licence: NV 4688T) |
Enumeration Date | 2006-12-07 |
Last Update Date | 2025-09-11 |