NPI | 1831633296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 270) |
Additional Taxonomies | 122300000X Dentist (Licence: OK 6887) |
Enumeration Date | 2016-12-05 |
Last Update Date | 2024-08-21 |