| NPI | 1235298472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS035903) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 16155) |
| 1223G0001X Dentist, General Practice (Licence: FL DN 16627) | |
| 1223G0001X Dentist, General Practice (Licence: PA DS 035903) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-02-14 |