| NPI | 1326271842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24319) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 59738) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2019-10-15 |