| NPI | 1376857441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN 19079) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL DN19079) |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2020-02-10 |