| NPI | 1033244124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: GA 010117) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 0010117) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-03-11 |