| NPI | 1831746932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D011727) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 16999) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-09-15 |