| NPI | 1467405423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17815) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 7692) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-12-19 |