NPI | 1689192627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: OH 30025830) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS041470) |
Enumeration Date | 2017-08-30 |
Last Update Date | 2022-07-21 |