| NPI | 1831852623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 27812) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 27812) |
| 122300000X Dentist (Licence: PR 003431) | |
| 1223G0001X Dentist, General Practice (Licence: PR 003431) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: FL 27812) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: PR 003431) | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-05-30 |