| NPI | 1073280939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 14238) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 12520) |
| 122300000X Dentist (Licence: FL DN27651) | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-10-23 |