| NPI | 1447987656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AL ST-000373) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN S192) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2023-05-03 |