| NPI | 1730630633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN22332) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM DD4616) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2024-08-08 |