| NPI | 1265584064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL AL4617) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN13802) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2023-03-07 |