| NPI | 1538459409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19577) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038387) |
| 1223G0001X Dentist, General Practice (Licence: NJ 22DI02465100) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2022-05-15 |