| NPI | 1447825047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 2478) |
| Additional Taxonomies | 122300000X Dentist (Licence: MT DEN-DEN-LIC-21416) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2022-12-16 |