| NPI | 1982041356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 11876) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 60734386) |
| Enumeration Date | 2013-05-25 |
| Last Update Date | 2025-12-15 |