| NPI | 1447342134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 015688) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2509) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-02-20 |