| NPI | 1992690556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401419878) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 14220) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2026-04-26 |