| NPI | 1497876809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 699) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN011792) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-06-04 |