| NPI | 1205433109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 7771) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 0006817-C1) |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2023-07-25 |