NPI | 1689368706 |
---|---|
Former Name | ESSRA NURIE ABDULLAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: TN 12440) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 109245) |
Enumeration Date | 2023-06-05 |
Last Update Date | 2024-10-02 |