| NPI | 1417052887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8339) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010957A) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-10-22 |