| NPI | 1194909788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60960) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011097A) |
| 1223G0001X Dentist, General Practice (Licence: AZ D7442) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2016-01-25 |