| NPI | 1053969113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS042175) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS042175) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2022-01-29 |