NPI | 1902280654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NV 6670) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 6670) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2021-12-08 |