| NPI | 1003216284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15704) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1001442) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401417821) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2022-03-24 |