| NPI | 1295898054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: AZ D06920) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D6920) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-04-01 |