| NPI | 1316174121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401418150) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 24632) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2024-01-02 |