| NPI | 1912429309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24683) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12012804A) |
| 1223G0001X Dentist, General Practice (Licence: MI 2901022278) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2021-08-24 |