| NPI | 1073131009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 7649) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 03) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-16 |