| NPI | 1356094247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: UT 12782441-9924) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: ID 5171473) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2025-11-10 |