| NPI | 1588059323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 27479) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00202456) |
| 1223G0001X Dentist, General Practice (Licence: MT DEN-DEN-LIC-11462) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-10-25 |