| NPI | 1346817020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2021015089) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 61786) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2022-01-31 |