| NPI | 1235806274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 19025) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401418411) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-09-14 |