| NPI | 1841804531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 61547590) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 105434) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-07-10 |