| NPI | 1033848080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 12880083-8903) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 12880083-9921) |
| 122300000X Dentist (Licence: UT 12880083-9922) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |