NPI | 1609389121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MD LL862) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: KY 10039) |
Enumeration Date | 2017-11-06 |
Last Update Date | 2020-10-25 |