| NPI | 1780633446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DM25645) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D7590) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2022-12-14 |