NPI | 1427657683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL DN6822-C1) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN25488) |
Enumeration Date | 2020-10-20 |
Last Update Date | 2020-10-21 |