NPI | 1982199972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 064617) |
Additional Taxonomies | 122300000X Dentist (Licence: CO DEN.00204377) |
122300000X Dentist (Licence: DC DEN1001887) | |
Enumeration Date | 2018-06-22 |
Last Update Date | 2025-07-28 |