NPI | 1528620937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL D-0006956-C1) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DRPM2044) |
Enumeration Date | 2019-07-05 |
Last Update Date | 2021-12-19 |