| NPI | 1194887927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8795) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 8572) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-09-08 |