| NPI | 1639787021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL D0007097-C1) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D0007097-C1) |
| 1223G0001X Dentist General Practice (Licence: MS 4144-20) | |
| 1223G0001X Dentist General Practice (Licence: AK 163917) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2024-05-03 |