NPI | 1861001976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D010817) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 37542) |
1223G0001X Dentist, General Practice (Licence: AZ PD0028) | |
Enumeration Date | 2020-07-24 |
Last Update Date | 2023-09-21 |