| NPI | 1538315411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3669) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 23994) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2024-07-09 |