NPI | 1891780938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN28783) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 3987) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2024-04-02 |