NPI | 1407271513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS040013) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS040013) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2023-08-07 |