| NPI | 1306008040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D10232) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011192A) |
| 1223G0001X Dentist, General Practice (Licence: WA DE60560016) | |
| 1223G0001X Dentist, General Practice (Licence: IL 019.028903) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-11-24 |