| NPI | 1770772808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA DNF000446) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DNF000446) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2026-02-19 |