| NPI | 1538652375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24027) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 3284) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-03-30 |