NPI | 1720494784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA DN122421) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DL12224) |
122300000X Dentist (Licence: IL 019.030288) | |
Enumeration Date | 2014-07-10 |
Last Update Date | 2025-05-21 |