| NPI | 1083344162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401418936) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN122992) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-07-23 |