| NPI | 1225145683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2021005681) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN13419) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-06-07 |