| NPI | 1144491325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8561) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 9086) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2015-09-09 |