| NPI | 1437886660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS043652) |
| Additional Taxonomies | 122400000X Denturist (Licence: PA DS043652) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-11-07 |