NPI | 1831760487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30.026572) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN26134) |
122300000X Dentist (Licence: FL 26134) | |
Enumeration Date | 2021-07-06 |
Last Update Date | 2021-07-06 |