| NPI | 1740696434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 7167) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3777-14) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2023-07-03 |