| NPI | 1164596201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D11168) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00010692) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-06-27 |