| NPI | 1225550528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 7485) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2017023594) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2021-12-15 |