| NPI | 1003337775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6573-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3950-17) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2020-09-24 |