| NPI | 1467039149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 12935) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: NC 12935) |
| 1223G0001X Dentist, General Practice (Licence: IL 019.033259) | |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2024-03-05 |