| NPI | 1285769976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN27397) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DSO35058) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-11-03 |