| NPI | 1144605478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000010213) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 21371) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2020-07-23 |