| NPI | 1427162544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9092) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 5165) |
| 1223G0001X Dentist, General Practice (Licence: AL 5165) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-03-22 |