| NPI | 1851597272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17937) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 17937) |
| 1223G0001X Dentist, General Practice (Licence: TN 9599) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-06-17 |