NPI | 1568877983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2014020284) |
Additional Taxonomies | 122300000X Dentist (Licence: NE 7073) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2019-06-06 |