| NPI | 1922451335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 10681) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 22178) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-01-12 |