| NPI | 1346387255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS027741L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 5722) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |