| NPI | 1497365498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 4433-24) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D.0006810-C1) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-04-10 |