| NPI | 1821168675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5563) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN012981) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2022-07-21 |