NPI | 1386178499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN25680) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 16672) |
Enumeration Date | 2017-04-14 |
Last Update Date | 2023-01-03 |