| NPI | 1831586296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 3190) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 003190) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-10-05 |