| NPI | 1225288947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038570) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 57717) |
| 1223G0001X Dentist, General Practice (Licence: MA DN1855285) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2019-10-21 |