NPI | 1942873039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 37553) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 37553) |
Enumeration Date | 2021-07-19 |
Last Update Date | 2025-08-15 |