| NPI | 1134571086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: VA 0401415601) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS040917) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2017-10-13 |