| NPI | 1679354807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN123265) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC DGD.10631) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |