| NPI | 1255642906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9157) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412874) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2014-04-09 |