| NPI | 1477573731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14265) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 14265) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-01-22 |