| NPI | 1326416587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN25532) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 15969) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2023-04-11 |