| NPI | 1942609383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D12051) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H6799) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2024-07-23 |