NPI | 1881151504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401416371) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401416371) |
Enumeration Date | 2019-02-28 |
Last Update Date | 2019-03-18 |