| NPI | 1144537424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9135) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE60175861) |
| 122300000X Dentist (Licence: KY 9135) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2016-10-18 |