| NPI | 1023393329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: SC 8915) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 14878) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2020-12-01 |