NPI | 1679185482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 11035) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013478A) |
Enumeration Date | 2020-08-21 |
Last Update Date | 2023-10-18 |