| NPI | 1649727322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: AZ D011491) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 10496) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2022-07-26 |