| NPI | 1033491634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 6373) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D008322) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2013-04-04 |