| NPI | 1215150263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D 5327) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 40584) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-02-22 |