NPI | 1588096234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MD 15511) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 15511) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2024-07-12 |