| NPI | 1609560929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 4370-23) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AR 4678) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |