| NPI | 1538721352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 7566) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA DDS-09683) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-06-20 |