| NPI | 1225352974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19618) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412652) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2016-01-05 |