| NPI | 1184157950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 16314) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: DC DEN1001840) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2021-09-15 |