| NPI | 1871800979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010578) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 5797C1) |
| 1223G0001X Dentist, General Practice (Licence: NC 9340) | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2020-11-30 |