| NPI | 1902582679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DB-2024-0075) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D011868) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-04-29 |