| NPI | 1922679414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN26359) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 9967) |
| 122300000X Dentist (Licence: NC 12695) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-11-19 |