| NPI | 1326228883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-4086) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00011151) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |