| NPI | 1467427781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 55607) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY KY 7739) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2008-11-07 |