NPI | 1659101798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 17962) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401418989) |
Enumeration Date | 2024-08-05 |
Last Update Date | 2024-08-05 |