| NPI | 1770262313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL D.007227-C1) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH23682) |
| 122300000X Dentist (Licence: FL DN28378) | |
| 1223G0001X Dentist, General Practice (Licence: AL D.007227-C1) | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-04-05 |