| NPI | 1992041313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN014236) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN014236) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2024-08-07 |