| NPI | 1487816716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9898) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 6015) |
| 1223G0001X Dentist, General Practice (Licence: TX 23977) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2022-08-31 |