| NPI | 1851083505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901601832) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 5315242979) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-06-08 |