| NPI | 1861409203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411164) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL D-0006715-C) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-10-31 |