NPI | 1811565146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OK 8063) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 8063) |
Enumeration Date | 2021-06-14 |
Last Update Date | 2025-08-28 |