| NPI | 1003393810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2022021327) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA 041854) |
| 1223G0001X Dentist, General Practice (Licence: KS 61538) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2024-08-12 |