| NPI | 1134587033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN123377) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 04576) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2024-06-26 |