NPI | 1699261305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901022754) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12013506A) |
1223D0001X Dentist, Dental Public Health (Licence: MI 2901022754) | |
Enumeration Date | 2018-07-05 |
Last Update Date | 2022-06-22 |