NPI | 1861996183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 16901) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 68793173) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2019-06-25 |