| NPI | 1346990728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401418321) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 17550) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2023-04-22 |