| NPI | 1952405995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MT 2003) |
| Additional Taxonomies | 122300000X Dentist (Licence: MT DEN-DEN-LIC-2003) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2025-03-19 |