| NPI | 1508951237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018023) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 4668) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-12-16 |