| NPI | 1396710901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA Dn013060) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013060) |
| 1223D0001X Dentist, Dental Public Health (Licence: GA DN013060) | |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2021-07-21 |