| NPI | 1134795016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC DGD.9894.GD) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC DGD.9894.GD) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-11-10 |