| NPI | 1730444035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 11240) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 9491) |
| 1223G0001X Dentist, General Practice (Licence: NC 1730444035) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-05-14 |