NPI | 1740386853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 1965) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D12112) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2021-01-27 |