NPI | 1508553959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA FAC-40220) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IA FAC-40220) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-06-26 |