| NPI | 1205451127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC DGD.9829) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: GA DN016064) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-02-16 |