| NPI | 1730704743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN28627) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 11896) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-12-19 |