NPI | 1821349903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D008690) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC DGD.8153 GD) |
Enumeration Date | 2012-09-28 |
Last Update Date | 2018-05-20 |