| NPI | 1588829469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412231) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401412231) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2022-04-05 |