| NPI | 1528089281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN27447) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DTP742) |
| 1223G0001X Dentist, General Practice (Licence: OH 30020882) | |
| 122300000X Dentist (Licence: FL DN27447) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-02-08 |