| NPI | 1275847618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14652) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038309) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-09-21 |