| NPI | 1689869745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013635) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 5902 C1) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2021-09-26 |