| NPI | 1881326239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 39403) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 7538) |
| Enumeration Date | 2022-06-25 |
| Last Update Date | 2024-04-08 |