| NPI | 1326606104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: LA 009629114) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1858352) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-10-02 |