| NPI | 1164498986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL HAD127) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR D2584) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2024-01-23 |