NPI | 1801349980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR D10511) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D10511) |
Enumeration Date | 2016-07-26 |
Last Update Date | 2024-09-12 |