NPI | 1831716448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 09793) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IA 09793) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2023-07-05 |