| NPI | 1457435158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 8284) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: NC 8804) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-10-29 |