| NPI | 1235865221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC DGD.10656) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 13534) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-11-01 |