| NPI | 1427627272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D011963) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D011963) |
| 122300000X Dentist (Licence: AZ D011963) | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2025-11-12 |