| NPI | 1902884752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 2386) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8602) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-03-07 |