| NPI | 1003550088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN2000178) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401418160) |
| 1223G0001X Dentist, General Practice (Licence: MD 17740) | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-10-14 |