NPI | 1689803132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18731) |
Additional Taxonomies | 122300000X Dentist (Licence: GA DN014900) |
1223G0001X Dentist, General Practice (Licence: NV 6957) | |
Enumeration Date | 2009-07-06 |
Last Update Date | 2021-01-12 |