NPI | 1689087116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012774A) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-024215) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2022-07-21 |