| NPI | 1407297294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 7151) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3700-13) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-08-08 |