NPI | 1386802734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 11160) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 12486) |
Enumeration Date | 2008-05-31 |
Last Update Date | 2023-11-06 |