| NPI | 1710363130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL D-0006758-C1) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 3883-16) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2023-04-20 |