| NPI | 1316505290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn26592) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401416521) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-01-04 |