NPI | 1700951357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D06866) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ D06866) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2023-04-19 |