| NPI | 1871278796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D.007235-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 39878) |
| 1223G0001X Dentist, General Practice (Licence: FL 28428) | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-10-10 |