| NPI | 1851813430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415837) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1001750) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-06-08 |