| NPI | 1205190477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122225) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401413434) |
| 1223G0001X Dentist, General Practice (Licence: DC DEN1001078) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2022-08-24 |