| NPI | 1447571997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 6176) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 60606) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-06-16 |