| NPI | 1851068506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE61309953) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE61309953) |
| 1223G0001X Dentist, General Practice (Licence: OR D11518) | |
| Enumeration Date | 2021-08-29 |
| Last Update Date | 2023-12-10 |