| NPI | 1508874413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 4012) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 3241) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |