| NPI | 1124155684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9100) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM 2547) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-06-03 |