| NPI | 1821764150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 04947) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 7495) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-05-28 |