| NPI | 1063451524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 11078) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DNCS000171) |
| 122300000X Dentist (Licence: GA DNV000024) | |
| 122300000X Dentist (Licence: GA DNF000307) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-04-13 |