| NPI | 1255025359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 29323) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D.007355-C1) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-11-09 |