| NPI | 1437446580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D008704) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA ds038758) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2020-04-22 |