| NPI | 1770948473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 61074666) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 65330) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2021-02-01 |