NPI | 1649566241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60806) |
Additional Taxonomies | 122300000X Dentist (Licence: KS 60806) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2023-10-19 |