| NPI | 1740273432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4995) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00007586) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2019-03-08 |