| NPI | 1427461276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN 20590) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D011284) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2023-12-13 |