| NPI | 1427939735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401418254) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401418254) |
| 1223P0700X Dentist, Prosthodontics (Licence: VA 0401418254) | |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |