| NPI | 1497838288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AL AL4736) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: AL AL 4736) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-10-13 |