NPI | 1518499847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PR 3326) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL DN23269) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2019-08-22 |