| NPI | 1235511940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 014991) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 20623) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2016-06-14 |