NPI | 1811205800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 35882) |
Additional Taxonomies | 122300000X Dentist (Licence: OR D9507) |
122300000X Dentist (Licence: WA DE60169364) | |
122300000X Dentist (Licence: KS 60747) | |
122300000X Dentist (Licence: MO 2011008849) | |
Enumeration Date | 2010-09-23 |
Last Update Date | 2022-05-02 |