| NPI | 1508189689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT-2618) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE 60147458) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2016-05-18 |