| NPI | 1427657683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL DN6822-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN25488) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-21 |