| NPI | 1609526193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DRPM2400) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DRP2400) |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2022-07-18 |