| NPI | 1447577739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3276) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM DD3279) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2012-08-21 |