| NPI | 1275288540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 7936) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NV LL-569-22) |
| 122300000X Dentist (Licence: NV LL-569-22) | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2024-09-30 |