NPI | 1720417918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20427) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN20427) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2023-08-01 |