| NPI | 1003817271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: UT 6413406-9922) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 9648) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-03-22 |