| NPI | 1043770373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 60195) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM DD5263) |
| 1223G0001X Dentist, General Practice (Licence: AL 0006687) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2023-11-19 |