| NPI | 1235278847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 7281) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 7281) |
| 1223D0001X Dentist Dental Public Health (Licence: KY 7281) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-11-03 |