| NPI | 1437385929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 18695) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN18695) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2021-03-10 |