| NPI | 1215134952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18384) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS037375) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-09-18 |