| NPI | 1356346340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19315) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2486) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-11-29 |