| NPI | 1336378215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30813) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013925) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2022-02-17 |