| NPI | 1023795986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DRPM2600) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 13586) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-06-25 |