NPI | 1427149566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D-0006727-C) |
Additional Taxonomies | 122300000X Dentist (Licence: AL D-0006727-C) |
1223G0001X Dentist, General Practice (Licence: GA 012284) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2022-10-05 |