| NPI | 1861703365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6671-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 60691) |
| 122300000X Dentist (Licence: MD 15539) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-05-17 |