| NPI | 1245255058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5910) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 7332) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-08-11 |