NPI | 1780969667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9230) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 9230) |
Enumeration Date | 2011-10-11 |
Last Update Date | 2024-01-11 |