| NPI | 1346810801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 13626) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC DGD.9926) |
| 1223G0001X Dentist, General Practice (Licence: SC DGD.9926) | |
| 122300000X Dentist (Licence: FL DN25878) | |
| 122300000X Dentist (Licence: FL 25878) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-05-14 |