NPI | 1770137762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL 24184) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 24184) |
Enumeration Date | 2019-07-29 |
Last Update Date | 2024-04-16 |