| NPI | 1255392445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122508) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60752) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-04-15 |