NPI | 1871071621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IA 09596) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.032300) |
Enumeration Date | 2018-08-03 |
Last Update Date | 2020-06-25 |