| NPI | 1689803132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18731) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN014900) |
| 1223G0001X Dentist, General Practice (Licence: NV 6957) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2021-01-12 |