| NPI | 1306150990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6581-15) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: WI 6581-015) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2013-03-15 |