| NPI | 1649905548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 18271) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN26937) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2024-01-11 |