| NPI | 1356959522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122830) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D-0006788-C1) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2022-10-08 |