NPI | 1639662174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN23412) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN23412) |
Enumeration Date | 2018-06-10 |
Last Update Date | 2023-12-07 |