NPI | 1689297327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS042792) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 38996) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2022-09-13 |