| NPI | 1306494497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 24389) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS042453) |
| 1223G0001X Dentist, General Practice (Licence: FL DN24389) | |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2024-07-24 |