NPI | 1518319524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS-10079) |
Additional Taxonomies | 122300000X Dentist (Licence: IA DDS-10079) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2023-09-07 |