| NPI | 1457342891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D6747) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1000379) |
| 1223G0001X Dentist, General Practice (Licence: MD 13533) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-27 |