| NPI | 1841743416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN23150) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 8779) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2018-01-19 |