| NPI | 1346306495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D8557) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: GA DN012195) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2022-10-18 |