| NPI | 1427721976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC DGD.10333) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401417618) |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2022-09-21 |