| NPI | 1659863678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 40823) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN23390) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-08-05 |