| NPI | 1093899304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD MD11975) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 9489309-9926) |
| 1223G0001X Dentist, General Practice (Licence: OR D11893) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-02-26 |