| NPI | 1033290697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4890AL) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 7256) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-12-07 |