| NPI | 1437849197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN123185) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN28367) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-08-31 |