NPI | 1598801268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3557) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 012050) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-12-18 |