| NPI | 1194915678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412733) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 21887) |
| 1223G0001X Dentist, General Practice (Licence: RI DEN02977) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2011-09-07 |