| NPI | 1326376237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14150) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1000750) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2015-08-07 |