| NPI | 1700129400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 10183) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401413750) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2022-10-07 |