| NPI | 1891302527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 4230-21) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D.007314-C1) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2025-03-03 |