| NPI | 1013035948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 3251) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30545) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-03-17 |