| NPI | 1578085379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: FL DN22562) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN22562) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-08-14 |