| NPI | 1033449517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013997) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DNO13997) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2011-11-29 |