| NPI | 1134185267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 7680) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IN 12009918) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2010-01-14 |