| NPI | 1912429358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7878) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WY 1472) |
| 1223G0001X Dentist, General Practice (Licence: AL 0006794-C1) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2023-09-21 |