| NPI | 1437591765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1001294) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 15499) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2015-09-25 |