| NPI | 1841712429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN22793) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 22793) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-12-06 |