| NPI | 1437288461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410680) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD MD12564) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-09 |