| NPI | 1063292621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 7932) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401418655) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-02-24 |