| NPI | 1871708370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6652-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 6652-15) |
| 122300000X Dentist (Licence: KY 8520) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-04-15 |