| NPI | 1023239050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D.0004799) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN016026) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-09-25 |