| NPI | 1528579232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NH NH04361) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1857783) |
| 1223G0001X Dentist, General Practice (Licence: NH 04361) | |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2023-03-24 |