| NPI | 1720348832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1001758) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 6386) |
| 1223G0001X Dentist, General Practice (Licence: CO 202455) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2024-11-19 |