| NPI | 1164785408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6560) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27933) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2014-03-17 |