| NPI | 1023109113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 7507) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 17770) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-05-29 |