| NPI | 1013317056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI Deno3228) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI 03228) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2024-05-14 |