NPI | 1871800979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010578) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 5797C1) |
1223G0001X Dentist, General Practice (Licence: NC 9340) | |
Enumeration Date | 2010-09-10 |
Last Update Date | 2020-11-30 |