NPI | 1710544770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 00204545) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 105022) |
Enumeration Date | 2019-05-24 |
Last Update Date | 2023-01-25 |