| NPI | 1386178499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN25680) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 16672) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2023-01-03 |