NPI | 1477246387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12197) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.027143) |
Enumeration Date | 2023-05-29 |
Last Update Date | 2023-07-11 |