| NPI | 1659000941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 27669) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D-0007035-C1) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2023-06-27 |