| NPI | 1144671397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: GA DN015842) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: GA DNCS000514) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-04-13 |