| NPI | 1538804265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN122986) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 12782256-9923) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-03-28 |