| NPI | 1518218353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015482) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 5087) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2021-11-08 |