NPI | 1669751871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19522) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 37163) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2023-12-11 |