NPI | 1639741291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 37541) |
Additional Taxonomies | 122300000X Dentist (Licence: MN D14633) |
Enumeration Date | 2021-07-13 |
Last Update Date | 2023-08-15 |