| NPI | 1003475161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN24833) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 24833) |
| 122300000X Dentist (Licence: NV 7192) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2026-01-29 |