| NPI | 1508595026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 27003) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DRPM2481) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-06-07 |