| NPI | 1295347748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN016126-T) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 11410) |
| 1223G0001X Dentist, General Practice (Licence: TN 11410) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-09-03 |