| NPI | 1821349903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D008690) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC DGD.8153 GD) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2018-05-20 |