| NPI | 1477884351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2008016892) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 08688) |
| Enumeration Date | 2010-01-17 |
| Last Update Date | 2023-11-01 |