| NPI | 1295251353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 16531) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401415772) |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2017-08-20 |