NPI | 1871670885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5315) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 5215) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-06-21 |