NPI | 1972366573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN10000025) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA DH80900) |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-06-07 |