| NPI | 1366695660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 4666) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 14216) |
| 1223G0001X Dentist General Practice (Licence: MD 14216) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2024-05-22 |