| NPI | 1659000297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 26991) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 26991) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |