| NPI | 1427042480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA Dn013044) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: GA DN013044) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-12-13 |