| NPI | 1053501072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 12948DN) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN-12948) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2013-04-22 |