| NPI | 1306544382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 18231) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN2000292) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401418517) | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-09-05 |