| NPI | 1831829472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS044485) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN27402) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-02-22 |