| NPI | 1144239245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00011115) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS036925) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2015-11-19 |