| NPI | 1487262697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 19470) |
| Additional Taxonomies | 122300000X Dentist (Licence: MT 19470) |
| 1223G0001X Dentist, General Practice (Licence: TX 36313) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2021-09-02 |