NPI | 1558922146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D012059) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 7220) |
Enumeration Date | 2019-06-24 |
Last Update Date | 2024-08-20 |