| NPI | 1730344813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015530) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 2648) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2024-05-03 |