| NPI | 1073767117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: GA DN010346) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: FL DN11320) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |