| NPI | 1366858870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 24667) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 8718) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-03-30 |