| NPI | 1144601832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 9543) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN015046) |
| 1223G0001X Dentist, General Practice (Licence: TN ds0000010936) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2022-01-13 |