| NPI | 1184240145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 9757) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 11952) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-03-21 |