| NPI | 1851339956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6075-015) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 08362) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-03-07 |