| NPI | 1275629958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46565) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN-16530) |
| 122300000X Dentist (Licence: HI DT-2186) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-12-17 |