| NPI | 1689292286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24999) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858738) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2024-05-11 |