| NPI | 1144509175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6764) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS P110906) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2022-07-21 |