| NPI | 1225310592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN14337) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: GA DN014337) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2019-03-06 |