| NPI | 1518441013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN27237) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH26265) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2022-07-12 |