| NPI | 1598211245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN29113) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL RBT1507576) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-07-11 |