| NPI | 1447785571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 7471) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 32797) |
| 122300000X Dentist (Licence: FL 25769) | |
| 1223G0001X Dentist, General Practice (Licence: AL D-0006885-C1) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-07-10 |