| NPI | 1588969901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6324) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 6254) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2020-03-25 |