NPI | 1780633446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DM25645) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D7590) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2022-12-14 |