NPI | 1497114839 |
---|---|
Former Name | WAJIHA SEHRISH TARIQ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 10835) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 10835) |
Enumeration Date | 2016-02-13 |
Last Update Date | 2022-08-30 |