| NPI | 1033471255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL HAD126) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9426) |
| 1223G0001X Dentist, General Practice (Licence: KY 9426) | |
| 1223G0001X Dentist, General Practice (Licence: AZ D008434) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2024-03-14 |