| NPI | 1881202273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN25674) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 11821815-9922) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2021-03-25 |