NPI | 1871041012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS040834) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS040834) |
Enumeration Date | 2016-09-16 |
Last Update Date | 2024-05-03 |