| NPI | 1992226484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401416005) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0442000296) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-03-08 |