| NPI | 1215599386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 9388) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: SC 9388) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-11-06 |