| NPI | 1184031924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20606) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 9922) |
| 1223G0001X Dentist, General Practice (Licence: KY 9572) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2022-06-07 |