NPI | 1538373428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12747) |
Additional Taxonomies | 122300000X Dentist (Licence: FL dn0012747) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2023-09-20 |