| NPI | 1235156225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6195) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 6195) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-02-07 |