| NPI | 1598332470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DRPM2327) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL DPR2327) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |