| NPI | 1144376542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN15755) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN15755) |
| 1223G0001X Dentist, General Practice (Licence: TN DS9121) | |
| 1223G0001X Dentist, General Practice (Licence: FL DN13321) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-11-18 |