| NPI | 1285368845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401419287) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC DGD.10281) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2025-02-09 |