NPI | 1861914616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61401) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2017022281) |
Enumeration Date | 2017-07-13 |
Last Update Date | 2018-07-06 |