| NPI | 1124285820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 19631) |
| Additional Taxonomies | 122300000X Dentist (Licence: AR 3701) |
| 122300000X Dentist (Licence: MD 13532) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2017-04-21 |