| NPI | 1770789976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn17903) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10842) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-12-19 |