| NPI | 1245068790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401419237) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 18244) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-03-24 |