| NPI | 1437598612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 102951) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.024003) |
| 122300000X Dentist (Licence: FL DN20685) | |
| 122300000X Dentist (Licence: VA 0401414734) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2018-11-27 |