| NPI | 1093972036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 10118) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 10118) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-04-21 |