NPI | 1821832734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 30189) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 14116) |
Enumeration Date | 2024-06-24 |
Last Update Date | 2025-06-15 |