| NPI | 1205026283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412187) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1000652) |
| 1223G0001X Dentist, General Practice (Licence: PA DS043015) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-04-12 |