NPI | 1598243651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D010617) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12013021A) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2020-08-10 |