| NPI | 1477864171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC DGD.6906 GD) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 6906) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-10-29 |