NPI | 1841925419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 17794) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN2000147) |
Enumeration Date | 2022-07-19 |
Last Update Date | 2022-11-16 |