| NPI | 1528176567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN016010) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DNES000535) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: IA 07317) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3217) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-04-13 |