| NPI | 1154541845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3736) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL dn18068) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-10-06 |