| NPI | 1144958075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN27094) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL 27094) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2023-07-20 |