| NPI | 1417280132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8707) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12011371A) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2010-03-10 |