NPI | 1710471941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 35946) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS041745) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2023-08-14 |