| NPI | 1255797478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60610023) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: HI DTT-388-0) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2025-05-08 |