| NPI | 1578357372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VT 016.0134368) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 14459) |
| 122300000X Dentist (Licence: VA 0401419518) | |
| 122300000X Dentist (Licence: MD 18769) | |
| 122300000X Dentist (Licence: NC 14377) | |
| 122300000X Dentist (Licence: MA 10000721) | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-08-12 |