| NPI | 1922795475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN29502) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 51429) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-10-01 |