| NPI | 1659474914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 10636) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013143) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2024-07-30 |