| NPI | 1295144061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 1223G0001X) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30142) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2020-04-24 |