| NPI | 1942514971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 101998) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ d010998) |
| 122300000X Dentist (Licence: AK 1340) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2021-04-26 |