| NPI | 1063038875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN016070) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL D.0006753-C1) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-07-02 |