NPI | 1487295747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 10030) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2019030662) |
Enumeration Date | 2019-10-07 |
Last Update Date | 2021-09-01 |