NPI | 1801317391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D009855) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 101502) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2022-07-21 |