NPI | 1508875436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12011120A) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-026361) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2024-07-30 |