| NPI | 1891153789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 13465) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401415407) |
| 1223G0001X Dentist, General Practice (Licence: KS 61715) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2024-02-12 |