| NPI | 1578500773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2785) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS0000004876) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-09 |