| NPI | 1225166390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN21703) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 55070) |
| 1223G0001X Dentist, General Practice (Licence: FL 21703) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2019-11-04 |