| NPI | 1245747476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D009828) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D10785) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2023-05-02 |