| NPI | 1265884647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC DGD 8751) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401414909) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2022-02-01 |