| NPI | 1427003383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 3628) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: WI 3628-015) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-01-24 |