| NPI | 1487035366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN29815) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3807-15) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2025-04-01 |