| NPI | 1528611050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015940) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 6793) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2025-02-02 |