| NPI | 1437711900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24249) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN24249) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2021-09-17 |