| NPI | 1609026913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D7623) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ d7623) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-12-21 |