| NPI | 1194732610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DENT.DE.00009097) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DENT.DE.00009097) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2026-05-29 |