| NPI | 1144290149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN21630) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 5280015) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2016-12-12 |