NPI | 1710380027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 9050) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AZ 9050) |
Enumeration Date | 2014-09-30 |
Last Update Date | 2023-03-08 |