| NPI | 1144508441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN14950) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 60604) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2015-03-23 |