| NPI | 1285781278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5893) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ND 1980) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-03-29 |