NPI | 1861047532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR D11099) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: OR D11099) |
Enumeration Date | 2019-08-08 |
Last Update Date | 2019-08-08 |