NPI | 1386533289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 41714) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 8124) |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-07-02 |