| NPI | 1457549610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010413) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 054899) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2011-02-07 |