| NPI | 1891074837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6466) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27254) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2013-06-28 |