| NPI | 1265927198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2022021932) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 61427) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2023-07-26 |