| NPI | 1073112512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: GA DNF000437) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: GA DNCS000610) |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2026-02-19 |