| NPI | 1306981659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NV 5086) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: WA DE00009193) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-04-19 |