| NPI | 1205722667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL D.007538-C1) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 7672) |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-07-21 |