| NPI | 1275685737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9319) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-026666) |
| 1223G0001X Dentist, General Practice (Licence: WI 015-5753) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-01-07 |