NPI | 1952005290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 206261) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 40576) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2025-06-22 |