| NPI | 1952564460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 4483) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 4483) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-04-08 |