NPI | 1790337616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24308) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN24308) |
Enumeration Date | 2019-07-11 |
Last Update Date | 2021-01-29 |