| NPI | 1265078349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI 2838) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 35470) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |