NPI | 1811427750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D009718) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 108362) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2023-01-30 |