| NPI | 1386966356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN16826) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 20914) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |