NPI | 1548950207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AL D.007201-C1) |
Additional Taxonomies | 122300000X Dentist (Licence: AL D.007201-C1) |
Enumeration Date | 2023-05-08 |
Last Update Date | 2025-01-07 |