| NPI | 1427244516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3422) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 3422) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2025-03-21 |