| NPI | 1679669105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: FL DN9839) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN9839) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-03-13 |