| NPI | 1346410719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6197-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE60124299) |
| 122300000X Dentist (Licence: IN 12011261A) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2012-02-28 |