| NPI | 1346560893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 7067) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014080) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2016-01-07 |