| NPI | 1508523556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 18195) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN20001999) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2024-12-13 |