| NPI | 1487947933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D009656) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 056151) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2023-02-10 |