| NPI | 1538134044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 6387) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: IA 08169) |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2007-07-08 |