| NPI | 1437327087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 27065) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS037478) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2011-07-01 |