| NPI | 1386749703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 8374) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL DN17636) |
| 1223G0001X Dentist General Practice (Licence: IN 12011421A) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2010-05-21 |