NPI | 1841637246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: WI 7058-15) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901021010) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2024-11-08 |