| NPI | 1922028000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: SC 4220) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4220) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-04-09 |