| NPI | 1346922390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN123596) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 13421) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-09-19 |