| NPI | 1114339835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN20848) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401414783) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-06-09 |