| NPI | 1972649218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL dn 17647) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN17647) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-01-18 |