| NPI | 1033213657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8062) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00009778) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2018-10-23 |