| NPI | 1336437441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN26297) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27054) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2023-11-07 |