| NPI | 1073997086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D10277) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: OR D10277) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2022-03-21 |