| NPI | 1225395007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401413708) |
| Additional Taxonomies | 122300000X Dentist (Licence: DC DEN1001131) |
| 122300000X Dentist (Licence: MD 15034) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2022-01-10 |