| NPI | 1932513017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN20847) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS039983) |
| 207Y00000X Otolaryngology (Licence: FL DN20847) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-10-01 |