| NPI | 1881180669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D010288) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D10828) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2020-03-04 |