| NPI | 1073543476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901011880) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 052549) |
| 122300000X Dentist (Licence: IL 019.026924) | |
| 122300000X Dentist (Licence: PA DS036752) | |
| 122300000X Dentist (Licence: MA 21530) | |
| 122300000X Dentist (Licence: CT 009567) | |
| 122300000X Dentist (Licence: DC DEN1000521) | |
| 122300000X Dentist (Licence: RI DEN02922) | |
| 122300000X Dentist (Licence: VT 016-0002216) | |
| 122300000X Dentist (Licence: NJ DI02315900) | |
| 122300000X Dentist (Licence: NH 03530) | |
| 122300000X Dentist (Licence: MD 13642) | |
| 122300000X Dentist (Licence: KS 60412) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |