| NPI | 1073744876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3798) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 5675) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2023-09-19 |