| NPI | 1477098135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN23032) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 32619) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2018-02-08 |