| NPI | 1164153300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 39426) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL D-0007077-C1) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-01-29 |