| NPI | 1487234381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401417157) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN2000094) |
| 1223G0001X Dentist, General Practice (Licence: MD 17182) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2023-01-19 |