| NPI | 1952711400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN21233) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 10234) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2016-02-19 |