NPI | 1508477670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30.027377) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 7383) |
1223G0001X Dentist, General Practice (Licence: CO DEN.00204625) | |
Enumeration Date | 2020-08-12 |
Last Update Date | 2024-07-25 |