| NPI | 1407085269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6880) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 27315) |
| 122300000X Dentist (Licence: OK 6880) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2016-11-14 |