| NPI | 1326260894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN17868) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: FL DN17868) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-07-03 |