| NPI | 1871932848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401414018) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN26489) |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2021-10-29 |