| NPI | 1194908236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1001455-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D4274) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2016-12-05 |