| NPI | 1538355359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN00011243) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 036906) |
| 1223G0001X Dentist, General Practice (Licence: NJ DI15952) | |
| 1223G0001X Dentist, General Practice (Licence: OH 30-01-17599) | |
| 1223G0001X Dentist, General Practice (Licence: VA 0401007996) | |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2007-09-19 |