| NPI | 1346445178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6339) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2008022152) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2011-10-31 |