| NPI | 1033283296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6301) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 6301) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-01-09 |