| NPI | 1871690727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 4149) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54285) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-07-21 |