NPI | 1922448117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN25620) |
Additional Taxonomies | 122300000X Dentist (Licence: WI 7080-15) |
1223G0001X Dentist, General Practice (Licence: WI 7080-15) | |
1223G0001X Dentist, General Practice (Licence: GA DN015596) | |
Enumeration Date | 2013-07-02 |
Last Update Date | 2021-12-13 |