NPI | 1720660004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 12672) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 062973) |
Enumeration Date | 2021-04-26 |
Last Update Date | 2023-09-27 |