| NPI | 1720110281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1002478) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 6767) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2023-01-10 |