| NPI | 1821136946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 6900) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 8327) |
| 122300000X Dentist (Licence: OK 6900) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-09-08 |