| NPI | 1255997813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN25318) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 061285) |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2022-11-17 |