| NPI | 1184356404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AL D.007299-C1) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 27153) |
| 122300000X Dentist (Licence: FL DN27153) | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-06-11 |