| NPI | 1134961840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 14006123-9926) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: UT 14006123-8903) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |