| NPI | 1295048395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 0025788) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 25788) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2024-06-12 |