| NPI | 1114540820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN24853) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D.007297-C1) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2024-08-22 |