| NPI | 1528650710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: VA 0401418721) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI03015700) |
| 122300000X Dentist (Licence: VA 0401418721) | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: MA DN10000315) | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: MI 2901602093) | |
| 122300000X Dentist (Licence: MA DN10000315) | |
| 122300000X Dentist (Licence: MI 2901602093) | |
| 122300000X Dentist (Licence: OH 30.027607) | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: OH 30.027607) | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-07-09 |