| NPI | 1598140220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7870) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 00202602) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2023-09-13 |