| NPI | 1659003192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN26860) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN122685) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |