| NPI | 1275763682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 18700) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014047) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2016-03-09 |