| NPI | 1942818182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122307) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 9696) |
| 122300000X Dentist (Licence: IL 019.032725) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-06-22 |