| NPI | 1427794775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 12864) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC DGD.10468) |
| 1223G0001X Dentist, General Practice (Licence: WA DE61438232) | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-01-06 |