| NPI | 1588758247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412150) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA de00009586) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-05-02 |