| NPI | 1871670885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5315) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 5215) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-06-21 |