| NPI | 1093881120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015746) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010756A) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-11-05 |