| NPI | 1619406857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D009770) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 009770) |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2023-06-12 |