| NPI | 1205313087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D011982) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 6562) |
| 1223G0001X Dentist, General Practice (Licence: CO 204970) | |
| 1223G0001X Dentist, General Practice (Licence: NM DB-2023-0032) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2024-04-08 |