| NPI | 1780011155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014666) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN014666) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2024-04-12 |