| NPI | 1548995012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN27322) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 27322) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-10-07 |