| NPI | 1275902447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015021) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 10141) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2022-07-21 |