NPI | 1619325891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24031) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401415221) |
Enumeration Date | 2016-05-29 |
Last Update Date | 2023-10-12 |