| NPI | 1669106936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 17588) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 7579) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-14 |