NPI | 1851813984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 1857623) |
Additional Taxonomies | 122300000X Dentist (Licence: RI 03345) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2022-07-04 |