| NPI | 1225196843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011818) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 011818) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2019-04-10 |