| NPI | 1467425975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6100-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8152) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2012-04-10 |