| NPI | 1023088085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012509) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL HAD7) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2015-06-17 |