| NPI | 1437599461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6233) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014602) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-11-15 |