NPI | 1881752806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 11652) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS029470L) |
1223G0001X Dentist General Practice (Licence: PA DS029470L) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2024-10-01 |