| NPI | 1356456651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10244) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN009328) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |