| NPI | 1952696932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413208) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC DGD.8200) |
| 122300000X Dentist (Licence: VA 0401413208) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2024-05-19 |