| NPI | 1437710928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN016100) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 9412) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2021-05-02 |