| NPI | 1346478195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25923) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 9013) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2010-10-27 |