| NPI | 1265215982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6001285-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 6001285) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2024-06-04 |