| NPI | 1013444728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT DEN-DEN-LIC-23527) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D10661) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-09-07 |