| NPI | 1578298352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN26996) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN122921) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2023-01-26 |