| NPI | 1750949715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 9377) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901602314) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-11-05 |