NPI | 1811127491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AK 1302) |
Additional Taxonomies | 122300000X Dentist (Licence: AK 1302) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2021-07-15 |