| NPI | 1679152185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401416602) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 17285) |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2023-12-20 |