| NPI | 1366184368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 28950) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DRPM2410) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2024-05-21 |