| NPI | 1568079143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122979) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 11435) |
| 1223G0001X Dentist, General Practice (Licence: SC 9722) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2024-05-06 |