| NPI | 1427149566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL D-0006727-C) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D-0006727-C) |
| 1223G0001X Dentist General Practice (Licence: GA 012284) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-10-05 |