| NPI | 1912893249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401419693) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 18693) |
| 122300000X Dentist (Licence: DC 2001555) | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-08-19 |