| NPI | 1346467339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN12977) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH15487) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |