| NPI | 1952181877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC dgd.10684) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 10012969) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-03-06 |