| NPI | 1811379407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 21798) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 9593) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-05-20 |