| NPI | 1265091821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24075) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10290) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2024-05-08 |