NPI | 1790398402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00205841) |
Additional Taxonomies | 122300000X Dentist (Licence: MI 2901600628) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-01-04 |