| NPI | 1659682409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6724-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 18986) |
| 1223G0001X Dentist, General Practice (Licence: MN 13029) | |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2022-12-13 |