| NPI | 1457780256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 10189) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA dn014662) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2023-03-16 |