| NPI | 1871806943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6565-15) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 158546-030) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2019-05-20 |