NPI | 1801466560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 26319) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL D-0007019-C1) |
1223G0001X Dentist, General Practice (Licence: OK 1376) | |
Enumeration Date | 2021-06-25 |
Last Update Date | 2025-06-02 |