NPI | 1487234381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401417157) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN2000094) |
1223G0001X Dentist, General Practice (Licence: MD 17182) | |
Enumeration Date | 2021-04-13 |
Last Update Date | 2023-01-19 |