| NPI | 1518584234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DENT.DE.70150801) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2026-08-13 |