NPI | 1538840590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2023042682) |
Additional Taxonomies | 122300000X Dentist (Licence: NE 7966) |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-12-12 |