| NPI | 1518026228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3175-01) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20344) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-08-03 |