| NPI | 1790911170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013880) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: GA DN013880) |
| Enumeration Date | 2009-05-30 |
| Last Update Date | 2011-03-27 |