| NPI | 1316181803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN 17874) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 051649) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |