| NPI | 1700522497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL D.007211-C1) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN28864) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2024-10-14 |