| NPI | 1437249422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2008011520) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60431) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-10-17 |