| NPI | 1891357166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401418847) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 11528) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2024-06-24 |