| NPI | 1205961612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17865) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401411730) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-07-22 |