| NPI | 1487347233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: DC DEN2000287) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MD 18127) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-01-27 |