| NPI | 1457751075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20943) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS040171) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2015-12-29 |