| NPI | 1093826323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS025788L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 7583) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-04-24 |