| NPI | 1184846867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 12608) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN14712) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-06-01 |