| NPI | 1356514483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411890) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401441890) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2020-07-17 |