| NPI | 1710247424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1001263) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 16269) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-12-29 |