| NPI | 1407982473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009722) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 9722) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-10-04 |