| NPI | 1306123658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC DGD.7102 GD) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 31548) |
| 1223G0001X Dentist General Practice (Licence: TX 31548) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2023-06-14 |