| NPI | 1497480685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6001037-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI PAR-0000001717) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-07-21 |