| NPI | 1437394467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3702) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4543) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2009-10-28 |