| NPI | 1346313566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AK 105011) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CT 009236) |
| 1223G0001X Dentist General Practice (Licence: RI DEN02911) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-01-28 |