NPI | 1962486837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS043448) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 48415) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2024-02-27 |