| NPI | 1881253128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401418019) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC DGD.9557) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2023-04-20 |