| NPI | 1134613714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D6521-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: HI DT-2757) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2019-06-06 |