| NPI | 1407396153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: VA 0401418663) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL DN23279) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2023-12-20 |