| NPI | 1821538786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: DC DEN1001926) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: DC DEN19001926) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2022-06-15 |