| NPI | 1821724261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: AZ D011455) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D011455) |
| 1223G0001X Dentist, General Practice (Licence: AZ D011455) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-08-01 |