| NPI | 1013655109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS-10066) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 7847) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2023-04-03 |