| NPI | 1912231655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125Q00000X Oral Medicine (Licence: GA DNF000353) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DNF000353) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2025-04-22 |