NPI | 1760892160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AL D0006178) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL D0006178) |
Enumeration Date | 2014-05-07 |
Last Update Date | 2018-03-08 |