| NPI | 1639206295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 8233853) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00010752) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-03-11 |