| NPI | 1730819608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AL D-0007030-C1) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AL D-0007030-C1) |
| 122300000X Dentist (Licence: LA 7496) | |
| 1223G0001X Dentist General Practice (Licence: LA 7496) | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-10-19 |