| NPI | 1477390698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN29421) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401418743) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-08-12 |