| NPI | 1215468103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN27503) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-09-02 |