| NPI | 1699268821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 9158) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN23453) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-07-03 |