| NPI | 1144238049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 3732) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 47260) |
| 122300000X Dentist (Licence: AZ 5308) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |