| NPI | 1265569313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 015112) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2761) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-07-29 |