| NPI | 1891833620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL HAD92) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 2501) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-06-28 |