| NPI | 1891475505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN28161) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 39779) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-03-19 |