| NPI | 1235445354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 010809) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 14670) |
| 122300000X Dentist (Licence: CT 010808) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2015-10-19 |