| NPI | 1033277264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 29085) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 41983) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-07-25 |