| NPI | 1386317329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 4237-21) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 4237-21) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-02-29 |