| NPI | 1689343816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D6941-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2021031526) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2023-07-26 |