| NPI | 1841636453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA Dn1856617) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 15926) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-10-30 |