| NPI | 1518055425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6673) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20168) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-07-20 |