| NPI | 1780254805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401417496) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA ghjkkk23) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |