| NPI | 1043402910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411939) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA 1043402910) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2013-09-02 |