NPI | 1548691017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN1856426) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN24672) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2023-01-19 |