| NPI | 1205167962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NC 8670) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013754) |
| 1223G0001X Dentist, General Practice (Licence: NC 8670) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2019-01-23 |