| NPI | 1245448703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1002231) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21492) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-12-29 |