NPI | 1912893249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401419693) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 18693) |
122300000X Dentist (Licence: DC 2001555) | |
Enumeration Date | 2025-06-13 |
Last Update Date | 2025-08-19 |