| NPI | 1093889156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6232) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 11745) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-07-01 |