| NPI | 1518925270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013794) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 9346) |
| 1223G0001X Dentist, General Practice (Licence: DC DEN5858) | |
| 1223G0001X Dentist, General Practice (Licence: WV 3353) | |
| 1223G0001X Dentist, General Practice (Licence: MD 12269) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-11-24 |