| NPI | 1447585294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5907) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 8876) |
| 122300000X Dentist (Licence: AL 5907) | |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2017-03-15 |