| NPI | 1326368952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS-08728) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA 08728) |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2022-06-14 |