NPI | 1730663964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 7142) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 34641) |
Enumeration Date | 2018-09-24 |
Last Update Date | 2018-10-09 |