NPI | 1619469897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 7512) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN23344) |
1223G0001X Dentist, General Practice (Licence: NV 7169) | |
Enumeration Date | 2018-06-04 |
Last Update Date | 2024-06-19 |