| NPI | 1891271987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1001957) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: HI DT2760) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2020-10-30 |