| NPI | 1558995274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 24684) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 24694) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2022-03-11 |