| NPI | 1306369954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 16502) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 1740) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-07-09 |