| NPI | 1992993935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT DEN-DEN-LIC-11505) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE60061891) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2016-07-09 |