| NPI | 1639539653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 10416) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 9326) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2024-10-08 |