| NPI | 1255410932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3789) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4263) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2022-10-29 |