| NPI | 1427496447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 7321) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 9301) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-08-22 |