| NPI | 1255409967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 4271-22) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8655) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-11-08 |