NPI | 1710715453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN123523) |
Additional Taxonomies | 122300000X Dentist (Licence: GA DN123523) |
Enumeration Date | 2024-07-24 |
Last Update Date | 2024-07-24 |