| NPI | 1144501677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1001051) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 15039) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401413266) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2017-12-28 |