| NPI | 1932519717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN122548) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: DC DEN1001668) |
| 1223G0001X Dentist, General Practice (Licence: DC DEN1001668) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2022-05-11 |