| NPI | 1992879837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010673) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN012878) |
| 1223G0001X Dentist, General Practice (Licence: TX 0021177) | |
| 1223G0001X Dentist, General Practice (Licence: SC 3511) | |
| 1223G0001X Dentist, General Practice (Licence: VA 0401410835) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-05-12 |