| NPI | 1841586310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 8328) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 5969) |
| 1223G0001X Dentist General Practice (Licence: IN 10305A) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2024-05-22 |